All posts in Uncategorized

In the ongoing effort to demand equitable access to high quality health care for all Illinoisans, Protect Our Care Illinois has drafted a letter calling on federal Centers for Medicare and Medicaid Services (CMS) to adopt additional policies to expand access to affordable health care during the COVID-19 crisis.

The letter below, signed by over 30 advocates, has been sent to CMS, the IL Congressional Delegation, the Governor’s office, and the Illinois Department of Healthcare and Family Services (HFS).

Letter to CMS:

“On March 1, 2020, President Donald Trump declared the health crisis caused by the novel coronavirus (COVID-19) a national emergency with the World Health Organization (WHO) declaring COVID-19 a global pandemic ten days later. As of the date of this letter, there are more than 243,000 confirmed positive COVID-19 cases nationwide with over 7,700 cases here in the state of Illinois that has taken the lives of 157 Illinoisans. Unfortunately, federal health officials note that the number of infections and deaths associated with COVID-19 will grow exponentially in the coming days and weeks. The gravity of this global health emergency presents an array of significant challenges that is imperative we address.

As a coalition of organizations and individuals committed to health equity, Protect Our Care Illinois is very concerned about how individuals and communities across the state will access the medical care necessary to combat COVID-19. We are additionally alarmed by the millions of Americans that will lose their health insurance due to COVID-19 related employment layoffs, closures, and terminations. We strongly believe that, during these tumultuous times, we should be ensuring that all Americans are able to get the critical medical care that they need and deserve.

Considering these challenges, Protect Our Care Illinois believes that the following policy priorities should be adopted immediately:

Officials at the Centers for Medicare and Medicaid Service (CMS) should alleviate existing barriers to individuals applying for Medicaid that may not have been addressed in the previous Section 1115/1135 waivers, including addressing lack of access to the online application for individuals without access to a computer during the federal emergency. Specifically, we ask that CMS allow Illinois to enable individuals to “sign” a Medicaid application via an assistor (e.g., an individual at a community-based organization that provides application assistance, whether or not they are a certified application counselor) without being physically present with that assistor during the federal emergency;

Ensure all COVID-19 treatment is covered with no out of pocket costs to the consumer. Although testing is currently covered, additional costs remain, such as those related to copays, hospitalization, and physical therapy related to COVID-19 diagnosis and treatment;

We strongly urge the Administration to reconsider their position and follow the example of nearly every state with a state-based marketplace, and enact a special enrollment period for 90 days with the possibility for an extension as the COVID-19 pandemic continues. This must happen to allow uninsured and underinsured residents to enroll in health coverage through the federal health insurance exchange;

In addition, we request that any new coverage obtained on the federal Marketplace through a special enrollment period be in place as soon as possible.

Adjust financial assistance for current Marketplace enrollees. Cost of coverage remains a barrier for many people, and even those who have coverage will be reluctant to seek testing and care, if they face a prohibitive cost-sharing burden. The federal government should temporarily boost advanced premium tax credits (APTC) for all eligible to no less than the lowest cost Bronze plan for the remainder of the calendar year.

Although not an exhaustive list, we believe that these policy recommendations will go a long way to guarantee that the most vulnerable in our communities do not fall through the cracks during this global pandemic. We look forward to working with the President’s administration, CMS officials, and elected officials on Capitol Hill and in Springfield to address the challenges posed by COVID-19. As a coalition we remain steadfast in our commitment that all Illinoisans should have access to quality affordable health care.”

We are disappointed by the outcome of today’s committee vote on HB3493, a bill to empower consumers by creating a Prescription Drug Affordability Board, an independent state board to review increasing drug prices and put a check on the unbridled power of big Pharma.

Recent polling data conducted in Illinois shows over half of Illinoisans reported experiencing a health care affordability burden and one in four ration or skip prescription medications due to high costs. Over eight in ten adults in Illinois said that they want the government to take decisive action, including establishing a Prescription Drug Affordability Board.

The people of Illinois have made it clear that they need common sense solutions that release them from the nocuous compromise between affording prescription drugs or other basic needs. Today the inaction of members of the General Assembly spoke volumes by denying the people of Illinois access to affordable prescription drugs. It’s simple: prescription drugs don’t work if you can’t afford them!

Protect Our Care Illinois will continue to elevate the stories of hard working Illinoisans who cannot afford their life saving medications. We are dedicated to working alongside the champions of this issue to ensure all Illinoisans have access to the medications they need to live full and healthy lives.

SPRINGFIELD–
A majority of Illinoisans have difficulty affording health care and
prescription drugs according to a new Consumer Healthcare Experience State
Survey (CHESS) commissioned in January 2020 by Protect Our Care Illinois and
Altarum’s Healthcare Value Hub, with the support of the Robert Wood Johnson
Foundation. The survey found that over half (56 percent) of Illinois adults
experienced healthcare affordability burdens in the past year and four out of
five (81 percent) are worried about affording healthcare in the future. For
most respondents, addressing the high cost of healthcare is their top priority
for policymakers and, across party lines, they express strong support for
government-led solutions.

The survey results were announced today in Springfield by Lynn Quincy, Director of the Healthcare Value Hub. She was joined by State Rep. Will Guzzardi, Senator Andy Manar and advocates from Protect Our Care Illinois. The legislators also unveiled new legislation to tackle some of the issues raised in the poll, including a new state board that would review data on drug prices and set new payment limits for state-regulated plans.

“This
new consumer health survey confirms what we have known for a while: people in
Illinois are being crushed by the cost of health care and prescription drugs
and they are looking to state government to address this huge issue. We have to
do something now to provide relief to Illinois families,” said Rep. Will
Guzzardi, D-Chicago who chairs the House Prescription Drug Affordability and
Accessibility Committee. “When it comes to tackling drug costs, 86 percent of
survey respondents endorsed the creation of Prescription Drug Affordability
Board to examine the evidence and establish acceptable costs for drugs– and I’m committed to bringing that
type of oversight to Illinois.”

“These
findings signal the degree to which the prescription drug industry is failing
to serve the health of patients, while those responsible face zero
consequence,” said Senator Andy Manar, D-48. “It puts the onus on every
legislator to be a part of a solution that delivers serious transparency and
accountability to an industry besieged by profiteering and exploitation of
working families.”

CHESS
is designed to elicit respondents’ unbiased views on a wide range of health
system issues, including confidence using the health system, financial burden
and views on fixes that might be needed. The survey used a web panel from
Dynata, January 9 – January 17, 2020, resulting in a demographically balanced
sample of approximately 1,047 adults 18 and older who live in Illinois. More
information about methodology can be found in the report.

“Our
current prescription drug pricing system is broken and, as it operates today,
cannot deliver medications that all Illinoisans can afford. Prescription drugs
don’t work if you can’t afford them,” said Logan Charlesworth, Protect Our Care
Illinois coalition manager. “We need to allow Illinoisans to focus on getting
healthy rather than allowing them to dangle on the precipice of health and
financial ruin because they cannot afford their medications.”

Additional
key findings include:

Nearly half (49 percent) of adults who needed health care in the prior 12-months encountered one or more cost-related barriers to getting the care they needed.

Over half (54 percent) of all survey respondents reported being either “worried” or “very worried” about affording the cost of prescription drugs. More than a quarter of respondents (28 percent) cited cost concerns as the driving factor for not filling a prescription or cutting pills in half.

Of the adults sampled in the survey, those who live in Greater Illinois (outside of Cook and the Collar Counties) experienced the highest healthcare affordability burden (59 percent) compared to the rest of the state.

Over one-third (35 percent) of Cook County adults got the care they needed but struggled to pay the resulting medical bill and 12 percent were unable to pay for necessities like food, heat, or housing.

Protect
Our Care Illinois calls on the Governor and legislator leaders in the General
Assembly to make health care affordability a priority during this legislative
session.

Illinois Governor JB Pritzker delivered his annual Budget
Address to a joint session of the General Assembly yesterday afternoon. Protect
Our Care Illinois was pleased to hear the governor’s continued dedication to
building a health care system that is equitable, accessible, and affordable for
all Illinoisans.

We commend Governor Pritzker on:

His commitment to ensuring quality health care will be accessible to all Illinoisans via the revival of the Navigator program;

Adding 100 new employees to the Department of Human Services to reduce the Medicaid redetermination backlog;

Increasing the state budget for mental health and addiction treatment services by $40 million;

His leadership to protect hardworking families across the state via the Fair Tax amendment; and

Maintaining family planning funding.

What was left out of the budget, however, shows that our
state still has significant work ahead in order to achieve a truly equitable
health care system for all people in Illinois. Specifically, people who are
ineligible for healthcare coverage due to immigration status must be provided
affordable, quality options for healthcare coverage in order to continue to
move towards a more equitable healthcare system in IL for all people. In
addition, by expanding Medicaid coverage to 12-months postpartum for all women,
Illinois can make significant progress toward reducing maternal mortality and
morbidity.

We look forward to working with the Pritzker Administration
and partners in the General Assembly to enact these budgetary priorities and
continue to bring to life the vision of true health equity in Illinois.

The Trump administration announced today a plan to allow states to change Medicaid funding to block grants — which would amount to a cut in Medicaid funding. The Protect Our Care Illinois coalition is opposed to this plan because if it were enacted here, it would drastically decrease health care access for people living in poverty who are among the most marginalized in our state. Medicaid block grants threaten healthcare access by cutting the funding of this life-saving health insurance program. Illinoisans cannot afford this attack on healthcare.

“The administration’s
decision will gut access to services that keep those most in need, including
people living with chronic conditions like opioid addiction and mental illness,
from engaging in health care,” said Logan Charlesworth, Protect Our Care
Illinois’ Coalition Manager. Medicaid covers 1 in 4 Illinoisans, and nearly
one-third of Illinois’ Medicaid Expansion population is living with a mental
health or substance use condition.

Additionally, all Medicaid
block grant proposals and similar reforms would dramatically cut federal
funding and shift costs to the states. This is an attack on people’s
healthcare, and would harm Medicaid funding. Medicaid is a popular, 55-year-old
program that provides health insurance to tens of millions of Americans.

The Trump administration’s Medicaid
cuts would harm Illinoisans’ health, the stability of our economy, and the
ability of state government to fund Medicaid and other priorities, like
education and social services. Protect Our Care Illinois calls on our state
elected leaders, including Governor Pritzker, to firmly and quickly denounce
the Trump administration’s Medicaid Block Grants plan.

SB667 is an important first step on the path to addressing the skyrocketing prices of lifesaving medicines like insulin. The cost of popular types of insulin has tripled over the last decade, increasing the price of some by as much as 800%. SB667 will cap those costs at $100 for a 30-day supply, and require further study of prescription drug costs by the state Department of Insurance. We look forward to reviewing the Department’s findings.

The members of Protect Our Care Illinois want to thank the bill sponsors, Senator Manar and Representative Guzzardi, as well as Gov. Pritzker for his early support of the measure.

Protect Our Care Illinois denounces the decision of the Fifth Circuit Court of Appeals in Texas vs. US, which lays the foundation for the
overturn of the Affordable Care Act (ACA) and risks the health and well-being
of millions of lives. The two Republican-appointed judges sided with President
Trump and Republicans to declare a portion of the law unconstitutional and sent
the rest back to the same handpicked lower court judge who has already ruled
the entire law unconstitutional.

Despite this ruling, health insurance purchased on the
Illinois Marketplace for 2020 coverage is still valid and protections for
people with pre-existing conditions are still intact, for now.

Health care is a top priority for Illinoisans; and
yesterday’s ruling represents a major blow in the fight for access to
comprehensive care that meets the needs and the budgets of everyday people.
Now, at least 605,000 Illinoisans
are at risk of losing their health coverage. Make no mistake – this politicized
decision jeopardizes the health care coverage and peace of mind for the over 5
million people in Illinois who have pre-existing conditions.

This health care repeal lawsuit represents the latest in a
string of attacks on the ACA that jeopardize access to the high-quality care
provided for by the Act’s provisions. Republican members of Congress have voted
to repeal the ACA more than 50 times since it was enacted in 2010. Following
multiple failed attempts to repeal, the Trump Administration began allowing
insurance companies to expand the sale of short-term plans that fall short of
meeting the quality standards required by the ACA. Additionally, the
Administration has pursued actions that weaken the program, including
shortening open enrollment, scheduling website maintenance during peak hours,
and slashing funds for community assisters and marketing.

Tragically, yesterday’s decision
represents a turning back of the clock on the fight to expand health coverage,
access to comprehensive care, and consumer protections. In the face of ongoing
sabotage, Protect our Care Illinois will remain vigilant in defending the
historic progress made possible because of the ACA. We are proud to support Illinois Attorney General Kwame Raoul’s defense of the
ACA, and we are committed to standing with
health care consumers, providers, and advocates across Illinois in support of
accessible, comprehensive health care for all Illinoisans because safe, healthy
individuals and families are the heart of vibrant, prosperous communities.

Obtaining and retaining health coverage should be easy for our neighbors who depend on it.

With the signing of SB1321 – the Medicaid Omnibus bill – we now have strong provisions directing the Department of Healthcare and Family Services to streamline and simplify the redetermination process so that fewer Illinois families will fall through the cracks.

Thank you to Governor Pritzker and his staff, Senator Steans, Leader Harris and other champions in the General Assembly for your vision and taking the steps necessary to build a health care system that works for all Illinoisans.

With unanimous votes in the House and Senate, advocates secure fixes to address the Illinois Medicaid eligibility and redetermination crisis

Springfield, IL— Protect Our Care Illinois (POCIL) applauds the Illinois General Assembly for successfully passing SB 1321, a Medicaid omnibus bill to improve the enrollment process and address other issues with the Medicaid system. The state has struggled for years to complete Medicaid applications in a timely fashion and prevent lapses in Medicaid coverage at renewal. We are hopeful that this bill will finally implement the reforms needed to streamline Medicaid renewal processes and better ensure our state’s three million Medicaid recipients will get the health care they need.

This legislation, sponsored by Senator Heather Steans, Majority Leader Greg Harris, and supported by stakeholders across the health care system will set into motion sweeping reforms throughout the Medicaid program. POCIL and its members Heartland Alliance, AIDS Foundation of Chicago, EverThrive Illinois, the Sargent Shriver National Center on Poverty Law, Legal Council for Health Justice, Thresholds and many others, worked tirelessly with the sponsors and other stakeholders to make sure the bill addressed the long-standing issue with redetermination cancellations and application delays. “Issues with Medicaid enrollees losing their coverage at renewal came up again and again,” said Senator Heather Steans. “We had to make it easier for eligible families to keep their benefits so they can have the peace of mind of dependable health coverage.”

The focus on Medicaid eligibility and enrollment stems from Illinois’s inability to process applications within the 45-day federal guidelines. There are currently over 100,000 overdue applications and the state is facing a lawsuit for the delays. Compounding this problem is a revolving door of Medicaid cancellations at renewal, leading to hundreds of thousands of Illinoisans losing coverage each month when many remained eligible. Over one-third of beneficiaries lose their benefits for some time at renewal.

POCIL focused on streamlining the application and renewal process by relying on electronic eligibility data and limiting the need to submit additional documentation. “Many Medicaid enrollees are struggling to make ends meet, working low-wage jobs and facing housing instability. That makes it tough to keep up with the all the letters and documentation currently required,” explained Heartland Alliance policy staff Dan Rabbitt. “We need to make the process for obtaining and retaining health coverage simple and easy for our neighbors who depend on it and this bill does just that.”

POCIL remains committed to strengthening Illinois’ Medicaid program and looks forward to continuing to partner with the Pritzker Administration, General Assembly, and other stakeholders to ensure Illinoisans can depend on the continuity of coverage and care necessary to stay healthy.

We look forward to a successful implementation of the bill and to building a strong health care system for all Illinoisans.

The Trump Administration just unveiled its long-expected proposal to reverse health care protections for women, LGBTQ+ people and non-English speakers who are seeking care – issuing a draft rule that seeks to undo key parts of Section 1557 of the Affordable Care Act (ACA). Section 1557 is the nondiscrimination provision of the ACA – also known as the Health Care Rights Law – which prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in any health program or activity any part of which received funding from HHS. This includes the Federal Health Insurance Marketplace and insurers that operate within the Marketplace.

The Trump proposed rule makes changes to non-discrimination protections in healthcare, significantly cutting back protections for women, LGBTQ+ people and people with limited English proficiency. It takes away express prohibition of discrimination based on gender identity and allows health insurers to discriminate in programs not directly receiving federal financial assistance.

This morning’s announcement is just one of the most recent myriad efforts to undermine access to healthcare and protections via the ACA and is a clear example of why we must call on our state officials to protect healthcare for Illinoisans.

We call on the General Assembly to protect Illinoisans from damaging and looming attacks on our healthcare through two steps that can be completed before the end of this legislative season on May 30th:

Ensuring the Department of Insurance has the power to reject unreasonable and discriminatory rates is crucial to do right now. The relentless attacks on healthcare from the Trump Administration have not stopped and will only continue, leaving state officials in a position to try to fix problems for consumers long after the fact. This latest attack is one of the problems we do not want to be chasing. Illinoisans need protection, predictability, and stability when it comes to their healthcare.

Passing HB 471 is urgent and must be a priority for the General Assembly where the bill has successfully passed the House but has remained stuck in the Senate Insurance Committee. We call on our General Assembly members in the Senate to VOTE YES ON HB 471.

On July 9th, a federal appeals court will hear the Trump-backed Texas vs. Azar case, which seeks to find the the entirety of the ACA unconstitutional. If this ruling is upheld, it would threaten the health and insurance coverage for over five million individuals in Illinois with pre-existing conditions, over two million people enrolled in Medicare, and 3.2 million people enrolled in Medicaid. In addition, this potential ruling would cause consumer protections to vanish overnight and would unleash chaos in our healthcare system.

We call on our General Assembly members in the Senate to affirm and protect the healthcare of Illinoisans and support SR 264 – the Protect ACA Resolution.

5 days ago
Police brutality is a public health crisis. Protect Our Care Illinois stands with Black communities across the state, and lifts their efforts to demand justice so they are afforded the basic right of existing without fear. Read our statement: https://t.co/53Hxdro0sJ